0000899243-21-017238.txt : 20210428
0000899243-21-017238.hdr.sgml : 20210428
20210428182410
ACCESSION NUMBER: 0000899243-21-017238
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210428
FILED AS OF DATE: 20210428
DATE AS OF CHANGE: 20210428
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gordon Christopher R
CENTRAL INDEX KEY: 0001432313
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40362
FILM NUMBER: 21866251
MAIL ADDRESS:
STREET 1: C/O BAIN CAPITAL, LLC
STREET 2: JOHN HANCOCK TOWER, 200 CLARENDON STREET
CITY: BOSTON
STATE: MA
ZIP: 02116
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Aveanna Healthcare Holdings, Inc.
CENTRAL INDEX KEY: 0001832332
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOME HEALTH CARE SERVICES [8082]
IRS NUMBER: 844717209
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 400 INTERSTATE NORTH PARKWAY
STREET 2: STE 1700
CITY: ATLANTA
STATE: GA
ZIP: 30339
BUSINESS PHONE: 770-441-1580
MAIL ADDRESS:
STREET 1: 400 INTERSTATE NORTH PARKWAY
STREET 2: STE 1700
CITY: ATLANTA
STATE: GA
ZIP: 30339
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2021-04-28
0
0001832332
Aveanna Healthcare Holdings, Inc.
AVAH
0001432313
Gordon Christopher R
C/O BAIN CAPITAL INVESTORS, LLC
200 CLARENDON STREET
BOSTON
MA
02116
1
0
1
0
Common Stock, par value $0.01 per share
81029675
I
See footnotes
Represents shares of common stock held by Bain Capital Fund XI, L.P. ("Fund XI"), BCIP Associates IV (US), L.P. ("BCIP IV"), BCIP Associates IV-B (US), L.P. ("BCIP IV-B"), BCIP T Associates IV (US), L.P. ("BCIP T IV") and BCIP T Associates IV-B (US), L.P. ("BCIP T IV-B" and, together with Fund IX, BCIP IV, BCIP IV-B and BCP T IV, collectively, the "Bain Capital Entities").
Bain Capital Investors, LLC ("BCI") is the ultimate general partner of the Fund IX and governs the investment strategy and decision-making process with respect to investments held by BCIP IV, BCIP IV-B, BCIP T IV and BCIP T IV-B. Mr. Gordon is a Managing Director of BCI. As a result of the relationships described in this footnote, Mr. Gordon may be deemed to share voting and dispositive power with respect to the shares held by the Bain Capital Entities. Mr. Gordon disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein.
/s/ Christopher R. Gordon
2021-04-28